| NPI | 1336458363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI 1817) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SI 1817) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-12-17 |